Final answer:
The nurse must promptly call for emergency medical assistance for a spinal cord injury, immobilize the patient's head and neck, provide basic first aid without moving the patient's spine, and be ready to assist with potential treatments aimed at reducing inflammation or inducing hypothermia.
Step-by-step explanation:
The prehospital management of a spinal cord injury (SCI) is crucial to the patient's neurologic outcome. In the case of T.W., a 22-year-old with a suspected T5-T6 fracture and paraplegia, the nurse should ensure the following actions:
Immediately call emergency medical services (911 or local number) if not already at the hospital.
Keep the patient very still to prevent further injury.
Stabilize the head and neck using heavy towels or hands to restrict movement until emergency care arrives.
Provide basic first aid, such as controlling any bleeding, without moving the patient's head or neck.
Be prepared to assist with advanced treatments that may include anti-inflammatory measures or hypothermia induction.
Understanding that spinal cord injuries vary in severity depending on the location of the injury is important. Paraplegia occurs when the injury affects the thoracic, lumbar, or sacral regions and paralysis affects the trunk, legs, and pelvic organs. Immediate and proper care is essential for the best possible recovery outcome.